Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.85 / $177.45 / $484.58	Facility	26	$47.85	$177.45	$484.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $150.53 / $321.13	Professional		$139.31	$150.53	$321.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.15 / $47.85 / $124.77	Professional	26	$46.15	$47.85	$124.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.15 / $102.69 / $261.63	Professional	TC	$93.15	$102.69	$261.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.66 / $235.30 / $833.78	Professional		$216.66	$235.30	$833.78
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $69.08 / $111.99	Professional	26	$62.17	$69.08	$111.99
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $147.59 / $167.43 / $276.26	Professional	TC	$147.59	$167.43	$276.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.60 / $329.16 / $707.66	Professional		$205.60	$329.16	$707.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.07 / $77.77 / $219.91	Professional	26	$45.07	$77.77	$219.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.54 / $257.12 / $533.13	Professional	TC	$143.54	$257.12	$533.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $367.00 / $367.00	Professional		$164.85	$367.00	$367.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.51 / $117.02 / $117.02	Professional	26	$53.51	$117.02	$117.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $111.34 / $250.00 / $250.00	Professional	TC	$111.34	$250.00	$250.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $296.00 / $557.05	Professional		$141.03	$296.00	$557.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $60.79 / $177.62	Professional	26	$44.45	$60.79	$177.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.30 / $202.51 / $463.56	Professional	TC	$109.30	$202.51	$463.56